[1]张莉莹,陈建锋△.伤科熏洗汤联合运动处方治疗功能性踝关节不稳的临床研究[J].中国中医骨伤科杂志,2025,33(04):63-67+73.[doi:10.20085/j.cnki.issn1005-0205.250412 ]
　ZHANG Liying,CHEN Jianfeng.Clinical Efficacy of Shangke Xunxi Decoction Combined with Exercise Prescription in the Treatment of Functional Ankle Instability[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(04):63-67+73.[doi:10.20085/j.cnki.issn1005-0205.250412 ]
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伤科熏洗汤联合运动处方治疗功能性踝关节不稳的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年04期
页码:
63-67+73
栏目:
临床研究
出版日期:
2025-04-10

文章信息/Info

Title:
Clinical Efficacy of Shangke Xunxi Decoction Combined with Exercise Prescription in the Treatment of Functional Ankle Instability
文章编号:
1005-0205(2025)04-0063-05
作者:
张莉莹1; 陈建锋1; 2△
1湖北中医药大学(武汉,430061); 2湖北省中医院
Author(s):
ZHANG Liying1; CHEN Jianfeng1; 2△
1Hubei University of Chinese Medicine,Wuhan 430061,China; 2Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,China.
关键词:
功能性踝关节不稳;  伤科熏洗汤;  中药;  运动处方;  回顾性研究
Keywords:
functional ankle instability;  Shangke Xunxi decoction;  traditional Chinese medicine;  exercise prescription;  retrospective study
分类号:
R684
DOI:
10.20085/j.cnki.issn1005-0205.250412
文献标志码:
A
摘要:
目的:探讨伤科熏洗汤联合运动处方治疗功能性踝关节不稳的临床疗效。方法:选取2021年2月至2024年4月就诊并诊断为功能性踝关节不稳的78例患者,其中观察组47例,对照组31例; 观察组每晚睡前用湖北省中医院院内制剂伤科熏洗汤进行踝关节水浴治疗,1次/d,20 min/次; 对照组用温水进行踝关节水浴,频次及方法同观察组。两组均由专人指导培训运动处方进行功能锻炼,主要由有氧训练、肌力训练、本体感觉训练和神经-肌肉控制训练组成,频次为每周3～5次; 2周为1个疗程,治疗周期为3个疗程。分析对比两组患者治疗前后坎伯兰踝关节不稳调查量表(CAIT)评分、功能性踝关节不稳的识别(IdFAI)评分、Y平衡测试(YBT)结果作为疗效指标,来对比治疗前后两组患者的关节稳定性及动态平衡能力的变化,并用SPSS27.0对所观察到的指标结果进行统计分析,从而评估临床疗效。结果:治疗3周后,两组患者的CAIT量表评分、IdFAI评分及Y平衡测试结果均较前改善,差异有统计学意义(P<0.05),且治疗6周后观察组的疗效指标优于对照组,差异有统计学意义(P<0.05)。结论:伤科熏洗汤联合运动处方治疗能显著提升功能性踝关节不稳患者CAIT量表评分,明显改善IdFAI评分,提升患者踝关节稳定性; 可明显提升Y平衡测试结果,增强患者的动态平衡能力。
Abstract:
Objective:To explore the clinical efficacy of Shangke Xunxi decoction combined with exercise prescription in the treatment of functional ankle instability(FAI).Methods:78 patients who were diagnosed as functional ankle instability from February 2021 to April 2024 were divided into two groups.Among them,there were 47 cases in the observation group and 31 cases in the control group.Before going to bed,the observation group was treated with ankle water bath with the preparation of Hubei Provincial Hospital of Traditional Chinese Medicine,once a day,20 min each time,and the control group was treated with warm water.The frequency and method are the same as those in the observation group.Both groups performed functional exercise according to the exercise prescription under the guidance of special personnel.It is mainly composed of aerobic training,muscle strength training,proprioceptive training and neuro-muscle control training with a frequency of 35 times a week.2 weeks was a course of treatment,and the treatment cycle was 3 courses.The results of Cumberland ankle instability scale(CAIT),functional ankle instability identification(IdFAI)and Y balance test(YBT)were analyzed and compared between the two groups before and after treatment,to compare the changes of joint stability and dynamic balance ability between the two groups before and after treatment.SPSS27.0 was used to statistically analyze the observed index results,so as to evaluate the clinical effect.Results:After 3 weeks of treatment,the CAIT score,IdFAI score and Y balance test results of the two groups were improved compared with before,with statistical significance(P<0.05); and after 6 weeks of treatment,the efficacy index of the observation group was better than that of the control group,with statistical significance(P<0.05).Conclusion:Shangke Xunxi decoction combined with exercise prescription can significantly improve the CAIT score of patients with FAI,effectively improve the IdFAI score and improve the ankle stability of patients.It can effectively improve the results of Y balance test and enhance the dynamic balance ability of FAI patients.The clinical effect of this study on FAI is significant,which can provide some reference for clinical treatment of FAI in the future.

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局“熊昌源名老中医药专家传承工作室”建设项目(国中医药人教函〔2022〕75号) △通信作者 E-mail:chenjianfeng@hbhtcm.com
更新日期/Last Update: 2025-04-10